Provider Demographics
NPI:1467037796
Name:PLATT, CHRISTAL (LPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTAL
Middle Name:
Last Name:PLATT
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6314 22ND ST N
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-1908
Mailing Address - Country:US
Mailing Address - Phone:424-207-6708
Mailing Address - Fax:
Practice Address - Street 1:115 BEULAH RD NE STE 200B
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180-4780
Practice Address - Country:US
Practice Address - Phone:703-493-0690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-17
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701010206101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty